Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Neurosurgery Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-2765
Entity
Organization
Contact information
Practice address
1080 FIRST COLONIAL RD, SUITE 400, VIRGINIA BEACH, VA 23454-2406
(757) 395-8720
(757) 510-9089
Mailing address
1080 FIRST COLONIAL RD, SUITE 400, VIRGINIA BEACH, VA 23454-2406
(757) 395-8720
(757) 510-9089
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
05/07/2007
Last updated
09/26/2016
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